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Neck facet nerve ablation (radiofrequency): what insurers pay

Heat ablation of the nerves to a neck or upper-back facet joint, one level. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 64633: Neck Facet Nerve Ablation (Radiofrequency)

1223 hospitals in 79 markets. National Medicare rate $1,995, surgery center $949.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)13$1,550$2,108$2,860$1,052–$3,702
Alaska (statewide)3———$2,470–$7,604
Arizona (statewide)7$1,824$2,352$2,621$1,307–$3,353
Arkansas (statewide)10$1,575$1,906$2,459$1,153–$3,034
Atlanta GA10$3,742$4,656$4,683$3,742–$4,683
Austin TX13$1,651$2,954$4,835$1,651–$5,045
Boston MA13$2,541$3,100$3,414$1,468–$4,099
California (statewide)56$3,616$5,762$7,390$1,948–$11,383
Charlotte NC5$2,322$2,322$2,322$2,290–$2,322
Chicago IL6$3,240$3,414$4,012$3,174–$6,703
Cleveland OH11$2,708$3,173$3,788$2,362–$4,094
Colorado (statewide)16$2,065$2,946$4,044$1,132–$6,338
Connecticut (statewide)3———$2,222–$8,136
Dallas-Fort Worth TX14$3,108$4,448$4,807$2,933–$8,809
Denver CO15$2,447$4,007$4,851$1,132–$5,980
Detroit MI10$1,702$2,056$2,459$1,435–$3,791
Florida (statewide)59$3,645$4,452$5,738$1,151–$8,690
Georgia (statewide)43$3,396$4,154$4,638$1,750–$8,775
Hawaii (statewide)4———$2,546–$6,884
Houston TX18$3,727$4,052$4,707$2,934–$6,588
Idaho (statewide)16$1,867$2,653$4,394$1,100–$6,072
Illinois (statewide)26$2,426$3,468$5,327$1,686–$7,295
Indiana (statewide)30$2,630$4,361$6,737$1,842–$8,700
Indianapolis IN1———$8,123–$8,123
Iowa (statewide)31$1,960$2,449$3,802$1,108–$5,926
Kansas (statewide)29$2,410$2,800$4,400$1,100–$7,604
Kentucky (statewide)17$1,988$2,552$2,709$1,443–$4,177
Las Vegas NV1———$1,588–$1,588
Los Angeles CA17$4,300$5,100$5,651$3,265–$14,342
Louisiana (statewide)24$1,557$1,808$2,438$958–$5,236
Maine (statewide)15$8,002$9,178$9,290$4,973–$11,680
Massachusetts (statewide)7$1,866$2,340$2,573$1,858–$3,160
Miami-Fort Lauderdale FL6$2,223$2,223$3,235$2,121–$5,670
Michigan (statewide)28$1,712$2,141$2,574$1,092–$4,761
Minneapolis-St. Paul MN13$3,404$3,660$4,150$2,438–$4,572
Minnesota (statewide)17$3,333$4,454$5,979$1,150–$8,533
Mississippi (statewide)14$2,669$3,104$3,202$2,121–$3,433
Missouri (statewide)26$2,345$3,170$4,382$1,100–$6,897
Montana (statewide)3———$4,010–$5,865
Nashville TN8$2,474$2,824$3,177$1,574–$4,092
Nebraska (statewide)13$3,047$3,047$4,032$2,032–$6,353
Nevada (statewide)1———$5,089–$5,089
New Hampshire (statewide)6$3,056$5,279$7,602$2,265–$8,744
New Jersey (statewide)20$2,266$3,754$6,262$2,134–$8,538
New Mexico (statewide)4———$2,571–$5,523
New York (statewide)33$3,586$3,850$4,487$1,360–$6,842
New York City8$3,850$3,850$4,535$3,408–$6,593
North Carolina (statewide)6$2,309$4,442$6,191$1,827–$9,044
North Dakota (statewide)5$3,409$4,411$4,423$1,348–$5,418
Ohio (statewide)44$2,891$4,351$5,656$978–$7,506
Oklahoma (statewide)17$1,986$2,584$4,320$1,150–$8,355
Oregon (statewide)12$4,320$5,000$6,608$2,169–$9,041
Pennsylvania (statewide)44$2,514$3,552$5,302$1,207–$8,635
Philadelphia PA11$2,310$2,894$4,268$2,196–$6,872
Phoenix AZ8$2,262$2,496$2,640$1,994–$2,640
Pittsburgh PA10$2,004$2,606$4,056$1,828–$4,915
Portland OR9$6,629$6,629$8,640$5,730–$8,640
Research Triangle NC3———$1,350–$4,086
Rhode Island (statewide)6$2,261$3,308$4,470$1,643–$8,626
Richmond VA3———$3,591–$4,666
Rio Grande Valley TX5$2,738$4,807$4,807$2,538–$6,066
Salt Lake City UT9$1,146$1,146$1,146$1,146–$1,533
San Antonio TX3———$2,567–$4,590
San Diego CA7$4,360$4,395$4,395$3,780–$4,631
San Francisco Bay Area CA6$3,550$4,526$5,580$3,447–$12,355
Seattle-Tacoma WA16$5,074$5,839$7,213$4,891–$7,277
South Carolina (statewide)26$2,667$4,542$5,187$1,086–$10,514
South Dakota (statewide)4———$2,543–$2,993
St. Louis MO8$1,216$3,714$6,188$1,140–$8,358
Tampa FL6$5,620$6,291$6,291$3,874–$6,291
Tennessee (statewide)28$1,992$2,184$2,573$1,831–$4,248
Texas (statewide)80$2,747$3,524$5,023$1,347–$14,306
Utah (statewide)6$1,094$1,299$1,682$1,077–$1,758
Vermont (statewide)2———$1,840–$3,224
Virginia (statewide)22$4,324$6,411$7,371$1,905–$10,066
Washington (statewide)14$5,060$5,913$6,461$1,989–$10,646
Washington DC11$2,978$3,104$3,104$2,666–$3,171
West Virginia (statewide)8$3,121$3,406$6,738$2,168–$13,000
Wisconsin (statewide)41$4,578$6,032$6,770$1,529–$8,762

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Ochsner Acadia General HospitalLouisiana (statewide)$9580.5×52026-04-01
Akron Children'S HospitalOhio (statewide)$9780.5×12025-11-11
Usa Health University HospitalAlabama (statewide)$1,0520.6×12026-04-30
Ochsner St Martin HospitalLouisiana (statewide)$1,0730.6×52026-04-01
Intermountain Health Park City HospitalUtah (statewide)$1,0770.5×12026-08-05
Intermountain Health Heber Valley HospitalUtah (statewide)$1,0770.5×12026-08-05
Musc Medical CenterSouth Carolina (statewide)$1,0860.6×12026-04-01
Oaklawn HospitalMichigan (statewide)$1,0920.6×22026-03-27
North Canyon Medical CenterIdaho (statewide)$1,1000.6×82026-04-13
Saint Luke'S South HospitalKansas (statewide)$1,1000.6×32025-12-31
Saint Luke'S East HospitalMissouri (statewide)$1,1000.6×32025-12-31
Kossuth Regional Health CenterIowa (statewide)$1,1080.6×32026-07-16
Carilion Giles Community HospitalVirginia (statewide)$10,0665.3×12025-12-15
Mcleod Medical Center - DillonSouth Carolina (statewide)$10,1105.6×12026-07-20
Mcleod Loris HospitalSouth Carolina (statewide)$10,5145.8×22026-07-20
Mcleod Health ClarendonSouth Carolina (statewide)$10,5145.8×22026-07-20
Mary Bridge Children'S HospitalWashington (statewide)$10,6464.7×62026-08-27
Mission Community HospitalCalifornia (statewide)$11,3834.5×22026-09-01
Mainehealth Lincoln HospitalMaine (statewide)$11,6806.1×12025-09-09
Methodist Dallas Medical CenterTexas (statewide)$12,1596.2×12026-03-20
Stanford Health CareSan Francisco Bay Area CA$12,3554.3×32026-04-01
Logan Regional Medical CenterWest Virginia (statewide)$13,0006.9×12026-04-01
Methodist Mckinney HospitalTexas (statewide)$14,3067.3×12026-03-21
Cedars-Sinai Medical CenterLos Angeles CA$14,3425.7×12025-11-26

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for neck facet nerve ablation (radiofrequency)?

Across 1223 hospitals in 79 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 64633, hospital outpatient is $3,701, 1.8× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,433 to $5,223. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for neck facet nerve ablation (radiofrequency)?

Medicare's national hospital outpatient rate for CPT 64633 is $1,995 and its surgery-center rate is $949, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for neck facet nerve ablation (radiofrequency)?

Lowest medians: Ochsner Acadia General Hospital ($958), Akron Children'S Hospital ($978), Usa Health University Hospital ($1,052). Highest: Cedars-Sinai Medical Center ($14,342), Methodist Mckinney Hospital ($14,306), Logan Regional Medical Center ($13,000). Coverage: every hospital whose price file we could read.